Individual provider Active NPI

Michelle C Parker, LISW-CP

  • Clinical Social Worker
  • North Myrtle Beach, SC
National Provider Identifier
1851833297
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15910 Issued in SC
Practice address
1415 Highway 17 S
North Myrtle Beach, SC 29582-3803
Phone
(843) 450-8182
NPI assigned
Nov 16, 2016
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60576422 WA
Clinical Social Worker 1041C0700X 15910 SC Primary

Addresses

Primary practice location

1415 Highway 17 S
North Myrtle Beach, SC 29582-3803

Mailing address

900 Watermark CT
North Myrtle Beach, SC 29582-2574
Phone (206) 305-7455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517000094 SC Practitioner - Clinical Social Worker 4789966417 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians
Little River Medical Center IncGroup PAC ID 2961309315, shared by 7 NPIs, 38 clinicians

Practice addresses (Care Compare)

1030 Riverwalk Pkwy
Suite 203
Rock Hill, SC 29730-4265
Phone (803) 368-6499

4303 Live Oak Dr
Little River, SC 29566-9138
Phone (843) 663-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15910SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Little River Medical Center, Inc. Clinical CurrentSince Jun 13, 2024 Accepting new patients
Little River Medical Center, Inc. Clinical CurrentSince Jun 13, 2024 Accepting new patients
Little River Medical Center, Inc CurrentSince Jun 13, 2024 Accepting new patients
Little River Medical Center, Inc. Clinical CurrentSince Jun 13, 2024 Accepting new patients
Two Rivers Counseling LLC CurrentSince Jul 1, 2025 Accepting new patients
Beach Counselors LLC Clinical CurrentSince Dec 31, 2023 Accepting new patients
Little River Medical Center, Inc. Clinical CurrentSince Jun 13, 2024 Accepting new patients
Little River Medical Center Inc Clinical CurrentSince Jun 13, 2024 Accepting new patients
Little River Medical Center, Inc. Clinical CurrentSince Jun 13, 2024 Accepting new patients

Locations

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

3817 Main St
Loris, SC 29569
Phone (843) 663-8297

3236 Holmestown Rd
Unit E1
Myrtle Beach, SC 29588

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939

1415 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 450-8182

312 E Market St
Ste F
Leesburg, VA 20176
Phone (304) 725-7176

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1851833297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WATERMARK CT",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822574",
            "telephone_number": "206-305-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 17 S",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823803",
            "telephone_number": "843-450-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MICHELLE",
        "middle_name": "C",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60576422",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "15910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.